Name: ____________________________________Player Fee Receipt #____________
Mailing Address: ________________________________________________________
City: ____________________, Florida Zip Code: ________ T-shirt Size: ______
Email Address: _________________________________________________________
Contact Numbers: Home: ___________________ Work: ___________________ Cell: ____________________ Fax: ____________________ Pager: ____________________ Other: ___________________
Birth Date: _____________ Roy Hobbs Division only--Age as of January 1, 2006: ____. Mickey Mantle & Connie Mack Divisions only-- Age on or after August 1, 2005: ____.
If Playing on a 2005 Team Roster, Name the Team: __________________________ Positions Played: ___________________ Current or requested Jersey #: ________ Are you currently a Free Agent Player? ____ Yes ____ No
Height: ____ft ____inches Bats: Left__ Right__ Both___ Weight: _______lbs Throws: Left__ Right__ Both___
Baseball History: High School: _________________________Years____________ _____________________________________________________ College(s): ___________________________Years____________
____________________________________________________ Professional Team(s) and Class Divisions _________________________________________Years_______
_________________________________________ Years_______ Other Baseball Experience __________________________________________ Years______
********************************************************************** THIS PLAYER CONTRACT IS GOOD FOR THE ENTIRE 2005 BASEBALL YEAR ********************************************************************** [Player or Player and Parent/Guardian Signature Required on the Back of this Page]
CITY OF PALM BAY & FLORIDA SPACE COAST BASEBALL LEAGUE 2005 Player Contract and Accident Release/Financial Responsibility Clause
Player’s Name: __________________________________ Date: _____________ *If Player is under 18, Parent or Guardian Name(s): Parent or Guardian Name: __________________________________________ I, the above named Player and/or Parent/Guardian, hereby agree to play amateur baseball during the Year 2005 Baseball Season for my designated Team or Teams in the City of Palm Bay’s Recreation Program designated as the Florida Space Coast Baseball League or F.S.C.B.L. in accordance with the Rules & Regulations of the City of Palm Bay and all Baseball Sanctioning Organizations to which the City of Palm Bay are members, unless released or waived in accordance with those Rules & Regulations. I certify that I am not to receive any compensation, direct or indirect, for playing baseball with any City of Palm Bay F.S.C.B.L. Team. In consideration of acceptance of this Player Contract and permission to play baseball during this current year, I hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights & claims for damages I may have against the City of Palm Bay, F.S.C.B.L., my F.S.C.B.L. Team, Roy Hobbs Baseball, American Amateur Baseball Congress, National Amateur Baseball Federation, Brevard County School Board, Brevard County Board of County Commissioners, all City of Palm Bay F.S.C.B.L. Playing Field Hosts, and all their members & member associations for any and all injuries suffered by me in games and practices for the stated City of Palm Bay F.S.C.B.L. Team with which this Player Contract is signed by me and/or Parent/Guardian. I am aware I must have my own Medical Insurance Coverage and that my Team must also carry Insurance for Spectator Liability & Personal Injury to be eligible to participate & play in any manner in this Baseball League. I assume all risks and hazards incidental to the conduct of the activity of Baseball, and do hereby waive, release, absolve, indemnify, and agree to hold harmless the City of Palm Bay, F.S.C.B.L., my stated F.S.C.B.L. Team, all City of Palm Bay F.S.C.B.L. sanctioning organizations, members & member associations, and any host field agency for any injury to me as a registrant of the City of Palm Bay & F.S.C.B.L. I am also aware that the City of Palm Bay & F.S.C.B.L. does not provide insurance for any claim against the above stated groups. I grant permission to any and all City of Palm Bay &
F.S.C.B.L. representatives, host field agencies, & my Team members to authorize and obtain medical care from any licensed Emergency Team, Physician, or Hospital/Medical Clinic should I become ill or injured while participating in the City of Palm Bay’s F.S.C.B.L. I agree to pay for any and all damages done by me, the registrant, with the exception of normal use to buildings, equipment, supplies, and/or other property under the authority of the City of Palm Bay F.S.C.B.L. host field agency. I understand & will abide by the Rules & Regulations prescribed by the City of Palm Bay’s F.S.C.B.L., all F.S.C.B.L. Host field agencies, and sanctioning organizations governing the F.S.C.B.L. and its Facilities. I agree to abide by any and all disciplinary actions upon any infraction of these Rules & Regulations.
Player’s Signature Parent or Guardian Signature (If Player is under 18 years of age)